Alarm Management in The NICU. Sarasota Memorial Hospital Located in Sarasota Florida 806 acute...
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Transcript of Alarm Management in The NICU. Sarasota Memorial Hospital Located in Sarasota Florida 806 acute...
Alarm Management in
The NICU
Sarasota Memorial Hospital
Located in Sarasota Florida 806 acute care beds; regional
medical center founded in 1925 The second largest public hospital
in Florida, governed by a 9-member Board.
Fully accredited by the Joint Commission, Received 3rd. Magnet Designation in 2014,
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SMH NICU 2012
Level III20 Bed unit
2 large open room layout
Select a new Cardio-Respiratory
Monitor
“GE”
Integrate our current
communication device
“VOALTE”
Select the appropriate Middleware
“Connexall”
How We Started
Voalte Communication System
Apple I-PhoneAble to receive TextPhone Calls both incoming and
outgoingAlarm Management (Displayed)Code Alerts receivedStaff EmergencyDelivery Team is needed
SMH NICU 2014
SMH NICU 2014Level III
33 Private Patient rooms 3 bed transition nursery
Connecting Technology to the Bedside Caregiver and To the Patient
• Alarm’s Nursing Staff Receive
Brady/High Heart Rate
High/Lo Pulse Ox Apnea Leads Off Delivery Team Staff Emergency Code Blue
Escalation SequenceGE Monitor alarms
After 15 seconds and infant does not “self-resolve”
Primary RN receives alarm on Voalte
If no action taken in 15 secondsAlarm escalates to Primary RN’s Buddy & RT (If infant on resp. Support) on Voalte
If no action taken within 15 more secondsPrimary RN and Charge Nurse receive
alarm on Voalte
September 2013
January 2014• Alarm’s Nursing
Staff Receive
Brady Lo Pulse Ox Apnea Leads Off Delivery Team Staff Emergency Code Blue
Alarm Report
September 2013• # of beds equipped with
alarm mgmt. - 10• # of Days- 19 • Total Activations- 23,810• Total time- 172:40:20• Primary Nurse- 13,776• Escalate to Secondary
(Buddy) - 850• Escalate to Primary &
Charge- 9184
January 2014• # of beds equipped with
alarm mgmt. - 31• # of Days- 31 • Total Activations- 38,981• Total time- 286:56:05• Primary Nurse- 38,035• Escalate to Secondary
(Buddy) - 527• Escalate to Primary &
Charge- 419
Concerns/Issues/Solutions
Too Many Alarms -Alarm FatigueNew Leads TrialedGE Monitor Software RecallStaff Provided FeedbackStaff Leary Of Trusting Technology Collaborated With Similar Health Care
OrganizationConnectivity IssuesAppropriate Alarm Notification (Sound)
Opportunities for Improvement
Software UpdateDecrease Alarms and Alarm FatigueReevaluate our Current Alarm
ParametersEnsure Patient Safety
Thank you